Individual
MRS. CHARMAYNE TYLER-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7525 GREENWAY CENTER DR, T-4, GREENBELT, MD 20770-3509
(301) 345-2463
Mailing address
10010 GOLDENWOOD CT, UPPER MARLBORO, MD 20772-3685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R130947
MD
163W00000X
Registered Nurse
RN32269
DC
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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